EMSC 06

Interfacility Transfer Guidelines

The percent of hospitals with an Emergency Department (ED) in the state or territory that have written interfacility transfer guidelines that cover pediatric patients and that include the following components of transfer:

  • Defined process for initiation of transfer, including the roles and responsibilities of the referring facility and referral center (including responsibilities for requesting transfer and communication)
  • Process for selecting the appropriate care facility
  • Process for selecting the appropriately staffed transport service to match the patient's acuity level (level of care required by the patient, equipment needed in transport, etc.)
  • Process for patient transfer (including obtaining informed consent)
  • Plan for transfer of patient medical record
  • Plan for transfer of a copy of signed transport consent
  • Plan for transfer of personal belongings of the patient
  • Plan for the provision of directions and referral institution information to family

Goal for Performance Measure by 2021

90% of hospitals in the state or territory have written interfacility transfer guidelines that cover pediatric patients and that include specific components of transfer.

Why This Measure Matters

In an emergency situation, time is critical to reducing the risk of morbidity and mortality. When written interfacility transfer guidelines for children exist, it allows for expedient transfer and communication from the receiving facility to a facility better equipped and staffed to care for the complex patient situation presenting itself. These are also crucial in the event of a mass casualty or disaster event, so that facilities may reroute patients to the best possible care facility.